Utilization Review Coordinator

To support clinical staff in a collaborative environment, the full-time Utilization Review Coordinator will manage utilization review requests, verify and enter data into systems, and respond to inquiries while working remotely. Key responsibilities Access, triage, and assign cases for utilization review (UR) Enter demographics and UR information into claims or clinical management systems, ensuring data integrity Obtain necessary information for UR processing from internal and external sources in accordance with policies and procedures Required qualifications High School diploma or GED required Two years of administrative experience or equivalent combination of experience and education required Customer service experience in the medical field preferred Knowledge of medical and insurance terminology, including ICD9 and CPT coding PC literate, including proficiency in Microsoft Office products